| Eduardo Antonio Marrero Velis, | |
|
815 E 15th St, Douglas, AZ 85607-1631 | |
| (520) 364-5437 | |
| (520) 364-4261 |
| Full Name | Eduardo Antonio Marrero Velis |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 815 E 15th St, Douglas, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144560160 | NPI | - | NPPES |
| 171732 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 52572 (Arizona) | Primary |
| Entity Name | Chiricahua Community Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241443 PECOS PAC ID: 5395638878 Enrollment ID: O20040206000860 |
| Mailing Address | Practice Location Address |
|---|---|
| Eduardo Antonio Marrero Velis, 1205 F Ave, Douglas, AZ 85607-1920 Ph: (520) 364-6852 | Eduardo Antonio Marrero Velis, 815 E 15th St, Douglas, AZ 85607-1631 Ph: (520) 364-5437 |
Peter Anthony Rice, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-364-4261 | |
Dr. Milla Sergeerna Rosen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-364-4261 | |
Dr. Neftali Francisco Fernandez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-364-4261 | |
Dr. Zachary Sean Patterson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-805-2986 | |
Jennifer Rebecca Albon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Pediatric Center Of Excellence, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-364-4261 | |
Jonathan Paul Melk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 815 E 15th Street, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-805-2985 |